Please attach a copy of your liability insurance certificate

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1 FIRE ALARM CONTRACTOR REGISTRATION PROGRAM APPLICATION Company: Contact Name: Address: City: Postal Code: Fax: Province: Our Firm is a member in good standing of the Electrical Contractors Association of Ontario (ECAO) Yes No INSURANCE: Insurance Company: Address: City: Province: Postal Code: Contact Person(s): Fax: Our firm is insured for a minimum of $2 M general liability insurance. Authorized signature Title Please attach a copy of your liability insurance certificate

2 FIRE ALARM EXPERIENCE: Fire Alarm projects completed in the last five years:

3 Fire Alarm projects completed in the last five years (cont.): The new Ontario Fire Code regulations require specialized training in the areas of annual testing & inspection, alterations and maintenance of fire alarm systems. Briefly describe your company s experience in these areas (i.e. the number of annual test & inspections, the number of maintenance contracts, or % of your work that is fire alarm related):

4 Statement of Compliance: As a registered ECAO Fire Alarm Contractor, Company name will comply with all local and national regulatory bodies that apply to the installation, alteration, maintenance and testing and inspection of fire alarm systems in the province of Ontario. The codes and standards shall include but not be limited to: Ontario Building Code Ontario Fire Code Ontario Electric Safety Code CAN/ULC S524 Standard for the Installation of Fire Alarm Systems CAN/ULC-S536 Standard for the Inspection of Fire Alarm Systems CAN/ULC-S537 Standard for the Verification of Fire Alarm Systems It is our intent to employ, when necessary, or maintain certified fire alarm electricians on staff when undertaking fire alarm work as defined under the regulations of the Fire Code. Authorized signature Date ALL INFORMATION WILL BE HELD IN STRICT CONFIDENCE PLEASE RETURN TO: ECAO 170 ATTWELL DRIVE, SUITE 460 TORONTO, ONTARIO M9W 5Z5 ATTENTION: GARY LEHMAN FAX: I:\assoc\ecao\Hum-res\FACappl.gwl

5 FIRE ALARM CONTRACTOR REGISTRATION PROGRAM MARKETING DESIGNATIONS In order for ECAO to market registered fire alarm contractors most effectively we need to know in which area(s) of the province you wish to be recorded for doing fire alarm work. For this purpose the province has been divided into the six areas that are presently being used in the contractor directory. These six areas correspond to the area ECAs and Local Union jurisdictions as listed below. Market Area ECA IBEW LU Area Listing ( ) Southwestern Ontario Windsor Sarnia London Central Ontario Greater Toronto & Vicinity Central Ontario Hamilton Niagara Peninsula Toronto Georgian Bay Oshawa & District Eastern Ontario Ottawa Quinte-St. Lawrence Northern Ontario Northern Ontario 1687 Northwestern Ontario Thunder Bay 402 Please indicate by ( ) those areas you wish to be listed under. NAME: FAX BACK NOW (Attention: Gary Lehman)

6 MARKETING PACKAGE PRICE LIST/ORDER FORM ITEM COST X QTY. TOTAL Annual Test & Inspection Certificates (min. qty. 10) $0.50 ea. X Verification Certificates (min. qty. 10) $0.50 ea. X Annual (Initial) Test & Inspection Report (12 pages) $1.15 ea. X Individual Device Record (extra sheets) $0.10 ea. X Verification Report (14 pages) $1.30 ea. X Summary Report (snap-set) N/A X Inspection Stickers (min. qty. 10) $0.40 ea. X Truck Logo Decal $2.30 ea. X SUBTOTAL PST 8% (# ) GST 7% TOTAL SHIP TO: Name Company Address Postal Code Telephone Fax Notes: 1. Microsoft Word templates are available ( only) for overprinting the Annual Test & Inspection and Verification Certificates. 2. ECAO will overprint the inspection stickers with your name and company logo in greytone (.gif,.tif or.bmp file is required). 3. Please make cheques payable and send to: Electrical Contractors Association of Ontario 170 Attwell Drive, Suite 460 Toronto, Ontario M9W 5Z5 f:\assoc\ecao\humres\facrp\order form.gwl

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